Membership in NACWA

Public Agency Membership Application

We (agency name) , with a service population of
, request membership in NACWA.

This application certifies that we are a metropolitan, county, or city
public agency that treats wastewater, conveys wastewater, and/or manages stormwater. We
will subscribe to the mission of the Association and
agree to pay the annual membership dues as detailed in the dues statement. (Dues
invoices are mailed in September, payable by December 1st. Dues are prorated quarterly for new members.
Contact the National Office at 202.833.2672 after January 1 for your adjusted
membership fee.)

My Agency provides the following services (check all that are
appropriate):